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Contact Information

MATULAITIS NURSING HOME, INC.
10 THURBER RD
PUTNAM, CT06260-2518
 Phone: 860-928-7976
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MATULAITIS NURSING HOME, INC.

NPI Number 1093822843
LBN Legal business name MATULAITIS NURSING HOME, INC.
Authorized official BETH GREGOIRE - (PATIENT ACCOUNTS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2006
Last updated 04/21/2026 - About 1 months ago
Identifiers
CT License # 0989
CT License # 5784720001
CT Medicaid 000009894
CT Other 5784720001 NSC NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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